VISION SOURCE-DEERBROOK PC (NPI# 1356535488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356535488 |
| Entity Type | Organization |
| Organization Name | VISION SOURCE-DEERBROOK PC |
| Practice Address |
20119-a Highway 59 North Humble TX 77338 |
| Practice Telephone | 2814465800 |
| Practice Fax Number | 2812595557 |
| Mailing Telephone | 2814465800 |
| Mailing Fax Number | 2812595557 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MOES R. NASSER (PRESIDENT) |
| Authorized Official Telephone | 2814465800 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 03077TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS OPTOMETRY LICENSE | 3077TG | 01 |
| Street Address |
20119-A HIGHWAY 59 NORTH |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
| Find all providers in zip 77338 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1124583190 | Rashi Prakash | Optometrist | 18906 Jodywood Dr, Humble, TX 77346-3142 | 2019-02-04 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1669928693 | Christina Guerrero | Optometrist | 9802 Fm 1960 Bypass Rd W Ste 110, Humble, TX 77338-3572 | 2016-08-30 |
| 1386096634 | Salwa Azeez | Optometrist | 20440 Highway 59 N Ste 100, Humble, TX 77338-2445 | 2016-07-11 |
| 1912366717 | Phamily Eyecare, P.a. | Optometrist | 20131 Highway 59 N Ste 1140, Humble, TX 77338-2331 | 2016-02-22 |
| 1376935437 | Prestige Eye Care, Pllc | Optometrist | 9665 Fm 1960 Bypass Rd W Ste A, Humble, TX 77338-4043 | 2015-02-26 |
| 1922437615 | Chantay Morris | Optometrist | 3103 Fm 1960 Rd W Ste V, Humble, TX 77338-3383 | 2013-11-04 |
| 1811339740 | Melanie Leung | Optometrist | 9701 N Sam Houston Pkwy E Ste 100, Humble, TX 77396-4636 | 2013-07-19 |
| 1205176443 | L & T Od Pa | Optometrist | 20131 Highway 59 N Ste 1000, Humble, TX 77338-2313 | 2013-02-26 |
| Find all providers in HUMBLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.